HomeMy WebLinkAboutLuhrs, Jason /0°
ELIZABETH A. NEVILLE ; Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
H Z Southold, New York 11971
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER `� ������ Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER �_ Ol �a0�i� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER �� southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2829 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : JASON LUHRS
Address 1 : 1175 HIAWATHAS PATH
City St Zip SOUTHOLD NY 11971
Descripton of Proposed Construction or Alteration
SANITARY SYSTEM FOR SINGLE FAMILY DWELLING.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES. REF #R10-01-0244
Name Of Owner LUHRS, JASON
Mailing Address 1 1175 HIAWATHAS PATH
City St Zip SOUTHOLD NY 11971
Property Address 1 1132 CHESTNUT ROAD
City St Zip SOUTHOLD NY 11971
Tax Map No. section 59.00 block 3 lot 16.005
Cross Street
Building Permit Number Cross Reference:
Issue Date: 6/21/02 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
• •• �...
,,�o`O COG•••% C'751
ELIZABETH A. NEVILLE '��0 'y Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
REGISTRAR,OF VITAL STATISTICS yy, Southold, New York 11971
MARRIAGE OFFICER `` •�i � ���, Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER � Q1 �a��•�1,• Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department _.
FROM: Linda J. Cooper, Southold Town Clerk's Office 4
DATED: June 3, 2002
Transmitted herewith is a copy of application No. 2932 for a Cesspool/Septic Tank Construction
Permit submitted by:
Jason & Lisa Luhrs
Please review the application and location map and advise if the project has received Suffolk County
Health Department approval and if this office may issue the permit.
Please complete the form below and return it to me.
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above and make the following
recommendations:
APPROVE
DISAPPROVE
Comments: , �
vir /"zelet-f-44, 1 geweeL.•,
21/4,4e,
Signature
000 —
Dated
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OFFICE OF THE TOWN CL K / t f ULA . = C(��
TOWN OF SOUTHOLD ; Application No.A"l�)-
FI-17ABETH A.NEVIL E,TOWN CLERK ,�,,
P.O.BOX 1179 } !`t Construction
SOUTHOLD,NEW YORK 11971
fit Alteration
Telephone �y0 $10.00 -Residential
(631-) 765-1800 = 1. ,�' $25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
•
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee .$ ,^, 2
DATE C//l/ J O 2"
APPLICANT NAME: 3ac o(i 7 L i c"'l LJ\tr—
APPLICANT
ADDRESS: ( ( - T I a w+1/4(s Pc-(_-6
oN1 1 Q7
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY:
L-2Gl, 0"--e
OWNER MAILING ADDRESS: S a �-
OWNER PROPERTY ADDRESS: Ii 3 2 au,SfI'1J* Pei
soCo ( d
TELEPHONE NUMBER OF CONTACT PERSON: 1(i ' `T 3
TAX MAP NO. : Section 5---q Block Lot /0' c
CROSS STREET:
BUILDING PERMIT NUMBER CROSS REFERENCE: .
C2940 1170Lki
Signature of Applicant
41, \
RECEIVED BY: I
Tpwn Clerk's Office
DATE: 6/3/02,
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444164 . .5` SsIoTuUATTHED0 LAD
TOWN OF SOUTHOLDT
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S.C. TAX No. 1000-59-03-16.5
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4, OCTOBER 22, 2001
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\ FEBRUARY 20, 2002 ADDED PUBLIC WATER
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•\ AREA = 131,969.24 sq. ft.
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•D•• . A'`'\, ? -1) NOTES:
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/..- 0 I. ELEVATIONS ARE REFERENCED TO AN ASSUMED DATUM
'le C+-7.4.1 EXISTING ELEVATIONS ARE SHOWN THUS:_ISLO T- -; :: ')
4, N • 1,.. . 2. REFER TO FILED MAP FOR TEST HOLE DATA. ..
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.>. 3. MINIMUM SEPTIC TANK CAPACITIES FOR A 1 TO 4 BEDROOM HOUSE IS 1,000 GAttOR?.
,.Y. '.., .., 1 TANK: 6' LONG, 4'-r WIDE, 6'-7" DEEP
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® ei. \ 4. MINIMUM LEACHING SYSTEM FOR A I TO 4 BEDROOM HOUSE IS 300 sq ft SIDEWALL AREA.
'‘ v9, 4,,x, I POOL; 12' DEEP, 8' dia.
vO: ' • PROPOSED EXPANSION POOL
0 PROPOSED LEACHING POOL
.8 "A- ' ..5§-2 .16,5 CT PROPOSED SEPTIC TANK
• • •,;‘,/
.. •, . , x),› 5. THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD
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.6. OBSERVATIONS AND/OR DATA OBTAINED FROM OTHERS.
\ /, 6. FOUND CONC. MON.: II
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PERMIT ''IR Asi. PROVAL OF C
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STANDARDS FOR TITLE 12,s• AS EST -1, • ,
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DATE OF APPROVAL . • -0-
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. . !Jo. No. 49668
713.0- /J. ,-,.-
4',` utm000ttzED ALTERATION OR 11.-re" -.,
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(4, 4 TO THIS SURVEY IS A VIOLATION OF 444,4=4040N
1111 T.FT
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AT "CST 0'..-- s
,i4)tSt SECTION 7209 OF THE NEW YORK STATE
EOLTOATTOW TA*.
COPIES OF THIS SURVEY TAW NOT%APING , Joseph A. Ingegio ,.
.-.,
Land Surveyor
4
__, 11 niCTEMEIOS$666:CIA.wiut,SE4f4tRuE1.1.7BEStALCOPI'SIDERED
cit: ......1,,0„.. 0 ,.., , certineArems 11106AVD HEREON stou.RUN, '• ,,b, 4- -..s omy PP RC MORON Fp,/loom THE awry
PREPARED.AND ON las tows TO 1HE
A TiTLE comPANY, GOVERNIXENT4CY Ma Title Surveys - Subdivisions -- Site, Pons - Construction Layout
....4 4 wat/O Itortolatm WED 1=.AND
„*.. NAP OF SLIRDIMIRAGOS
ON PREPARED FOR To THE AsSimem OF iNF MONO t411-
,< Tuttom. 0011rcAroos ARE Not TOPASPERABLE. PHONE (631)727-2090 Fax (631)727-1727
., ARGIRIO$ PAPADOP.O.M.0,3 & GEORGE MA
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• l,' LOT iz. MD IN THE OE Or THE OWN< Or SUFFOIX COUNTY
014 sEPTEm9E9 t3, 1$98 As FILE No. B612 THE EXISTENCE Or RIGHT OF WAYS
A00/00 1,A9194$Ts OF ItcO090. 1r
ANY, Nor SHOWN ARE NOT OUARARTE10. OFFICES LOCATED AT
1380 ROANOKE AvENUE
VACANT RIVER P7.* York 11901
Fif'AIL
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